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RISS 인기검색어
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- 저자 : 최장우(Chang Woo Choi) (검색결과 3 건)
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임플란트 식립후 발생한 동통성 지각이상의 미세외과적 처치와 경과
김명래(Myung Rae Kim),이원호(Won Ho Lee),최장우(Chang Woo Choi),정현주(/Hyun Ju Chung) 대한구강악안면외과학회 1998 대한구강악안면외과학회지 Vol.24 No.4
Purpose : This study is to examine the painful dysesthesia of lip & gingiva followed after implant surgeries and to evaluate the prognosis of microsurgical epineurotomy & tubulization with e-PTFE tubes. Method : Three patients who had been suffered from painful anesthesia and dysesthesia following dental implant surgeries were examined periodically and followed for over 1 year after epineurotomy and e-PTFE tubulization. Neurosensory dysfunctions were examined by Static Light Touch Threshold, Moving Direction Discrimination, Two Point Discrimination, Pin-Prick Nociception Visual Analog Scales and Tinel sign. The subjective symptoms were confirmed by SSEP and DITI prior to surgical exploration. Result : Two patients complained of continuous tearing and lancinating pain disclosed complete avulsion of IAN and degenerative changes with neuroma. One patient complained of mild painful dysesthesia revealed partial adhesion & fibrous epineural changes. Two patients whose IAN were explored after over 1 year resulted in only mild improvement in sensory recovery and moderate reduction of pain score. While the patient to whom decompression & epineural repair were given in 3 months after nerve injuries resulted in satisfactory improvement in sensory function and pain reduction. Conclusion : Painful dysesthesias occurred after implant placement were resulted from neurotmesis and disclosed degenerative neuropathy. Therefore, the micro-surgical explorations and repairs (epineurotomy, decompression neurolysis, and neurorrhaphy) can be recommended for known injuries as early as possible. For the delayed painful dysesthesia lasted over one year, however, epineurotomy & tubulization could be an option to improve the painful discomfort but not satisfactory.
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인공이식재 MEDPOR 를 이용한 중안모증가술(PARANASAL AUGMENTATION)과 측모의 변화
정상훈,최장우,김명래,이창국,김선종 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.2
With the increasing esthetic requirement in orthognathic surgeries, midfacial corrective surgeries were developed to improve the paranasal depression. Augmentation with autogenous bones has long been the standard in facial reconstruction, however limited graft availability, donor site morbidity, and difficulties in 3-dimensional shaping were led to limited use. Porous high density polyethylene(Medpor) was introduced in the 1970s as an alloplastic implants. It can be used in various size and shapes, and shortend operation time. The purpose of this study is to determine, by means of cephalometrics, the degree of long term stability and gaining of the overlying soft tissue thickness. The results were as followings : 1. There was no evidence of foreign body reaction, infection, and tissue necrosis. 2. Medpor implants had an advantage of clinical use ; easy to contour and adapt to obtain a precise 3-dimensional construction. 3. Cephalometric study of 16 cases of paranasal augmentation revealed an overall increase of soft tissue thickness of approximately 82.1% in 6-months following. 4. The successful results could be obtained under the aseptic handling.
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정석주,최장우,정강 한국산업안전학회 1989 한국안전학회지 Vol.4 No.1
This paper treats the vibration analysis of a simply supported rectangular plate stiffened with viscoelastic beams. The effect of viscoelastic beams on the vibration of the plate is analyzed by using Dirac delta function and the equation of motion can be expressed only one equation. The frequency equation is obtained by applying Laplace transformation. The effect of volumes, numbers and aspect ratios of beam on the frequency of the plate is analyzed.
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